Using Script Concordance Testing (SCT) to Assess Clinical Reasoning- The Progression from Novice to Practising General Practitioner.
Script Concordance Testing (SCT) is a relatively new modality of assessing clinical reasoning (CR). Candidates are presented with a clinical scenario, followed by a new piece of information. The candidates are then asked to assess whether this additional information increases or decreases the probab...
| Publicado en: | Medical Education Vol. 48; p. 6 |
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| Autor principal: | |
| Formato: | abstract tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
2014 Supplement
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=102194210&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 102194210 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: 2014 Supplement vid: 48 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 102194210 102194210 103791926 102194210 ppf: 6 ppct: 0 formats: fmt: @attributes: type: P tig: atl: Using Script Concordance Testing (SCT) to Assess Clinical Reasoning- The Progression from Novice to Practising General Practitioner. aug: au: Wan, S. H. affil: School of Medicine, University of Notre Dame, Sydney, Australia sug: subj: Diagnostic Reasoning Evaluation Clinical Competence Decision Making, Clinical Evaluation Questionnaires Education, Medical Physicians, Family ab: Script Concordance Testing (SCT) is a relatively new modality of assessing clinical reasoning (CR). Candidates are presented with a clinical scenario, followed by a new piece of information. The candidates are then asked to assess whether this additional information increases or decreases the probability of the suggested provisional diagnosis, or the usefulness of a investigation or management option. The candidate's decision is compared to that of a reference panel of experts. However, studies looking at the progression of CR from medical student to practising clinician are lacking. In 2012, the School examined 105 final year students using 40 SCT questions based on 15 case scenarios. The same batch of questions was given to 13 practising GPs who were PBL tutors. The mean and standard deviation of the scores of both groups were analysed. Student t- test was used to look for any statistical difference. The student cohort mean score and standard deviation were 64.9% and 6.4% respectively. The GP group's mean score and standard deviation were 70% and 8.6% respectively. The t-test performed was statistically significant at P = 0.013. There seems to be a significant progression of the CR skills from the medical students at the novice level to that of practising GP clinicians, reflected by the higher scores in the GP group attempting the SCT questions. Applying the same SCT exercise to a group of GP trainees (fellows in training) may provide additional insight into the progression of CR with clinical experience. pubtype: Academic Journal doctype: abstract tables/charts Journal Article ougenre: Unknown language: English refInfo: holdings: @attributes: islocal: N |
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